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How Do You Appeal a Denied California Workers’ Compensation Claim?

 Posted on August 30, 2025 in Denied Claims and Appeals

Hollister, CA workers’ compensation lawyerIf you were hurt on the job and your workers’ compensation claim was denied, you may feel frustrated and unsure of what to do next. Thankfully, California law provides clear steps for challenging the denial and fighting for the benefits you need. With the right approach and the help of a Hollister, CA workers’ compensation attorney, you can appeal the decision and keep your case moving forward.

Understanding Why Your Workers’ Comp Claim Was Denied

Insurance companies deny claims for many reasons, some valid and others questionable. A denial might happen if your employer argues that your injury was not work-related or if your medical records do not support your version of events. Sometimes, a claim is rejected simply because the paperwork was incomplete or you missed a deadline.

California law also sets strict requirements for filing claims. For example, under Labor Code § 5401, an injured worker must notify their employer about their injury using a claim form, known as a DWC-1. If this notice is late or missing, it can give the insurance company grounds for denying benefits.

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What Is California’s Return-to-Work Supplement Program?

 Posted on August 22, 2025 in Workplace Injuries

Santa Clara County, CA workers' compensation lawyerIn addition to workers’ compensation benefits, California offers the Return-to-Work Supplement Program (RTWSP), which provides a single $5,000 payment to certain injured workers after a job-related injury. The goal is to help close income gaps when permanent limits make it hard to return to the same work. A Santa Clara County, CA workers' compensation attorney can help you confirm eligibility, gather the right documents, and submit a timely, complete application.

Understanding the Return-to-Work Supplement Program in California

The RTWSP works alongside your regular workers’ compensation benefits. It is a separate payment designed to support your transition back to steady employment. The program is regulated under 8 CCR § 17300 under the control of the Director of Industrial Relations. 

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Does California Workers’ Compensation Cover Repetitive Stress Injuries?

 Posted on August 14, 2025 in Workplace Injuries

Hollister, CA workers’ compensation lawyerWorkers' compensation in California is designed to assist employees who are injured while doing their job. This can include injuries that develop over time, such as repetitive stress injuries (RSIs). If you have developed a repetitive stress injury, you need to understand your rights and how to pursue a claim. A Hollister, CA workers’ compensation attorney can help you through the process and ensure that your claim is strong.

What Qualifies as a Repetitive Stress Injury Under California Workers’ Comp Law?

A repetitive stress injury, also known as a repetitive motion injury, develops due to repeated movements or strain over time. Common examples of RSIs include carpal tunnel syndrome, tendonitis, and bursitis. These conditions are often caused by long-term repetitive motions, like typing, lifting, or assembly line work.

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Does California Workers’ Compensation Cover PTSD From Work?

 Posted on August 04, 2025 in Workers' Compensation

Santa Clara County, CA workers’ compensation lawyerNot all job-related injuries are physical. For some California workers, the risk of emotional and mental harm can be just as serious. Post-traumatic stress disorder (PTSD) is one example of a mental health condition that can result from workplace trauma. 

If you are experiencing symptoms like anxiety, flashbacks, or depression because of something that happened on the job, you may be able to receive workers’ compensation benefits to help you financially as you work on recovery. A Santa Clara County, CA workers’ compensation attorney can help you understand your rights and what benefits may be available.

How Can You Get PTSD on the Job in California?

PTSD is a mental health disorder that often develops after a person goes through a traumatic or life-threatening experience. In the workplace, trauma can take many forms. It may come from a single shocking event, such as a robbery, violent attack, serious accident, or being threatened by a coworker or customer. For others, PTSD can build up over time through repeated stress or disturbing experiences.

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Can Truck Drivers File for Workers’ Comp Benefits After a Crash in California?

 Posted on July 31, 2025 in Workers' Compensation

Hollister, CA workers' compensation lawyerCommercial truck drivers face unique risks every day on California’s highways. From long hours to hazardous road conditions, the chances of being involved in a crash while on the job run high. If you are a truck driver injured in an accident while working, you may be eligible for workers’ compensation benefits. However, your eligibility depends on several factors. An experienced Hollister, CA workers' compensation attorney can help you understand those factors and your rights.

California Workers’ Compensation for Commercial Truck Drivers

Under California Labor Code § 3700, any employer with one or more employees must provide workers' compensation coverage. For a truck driver, this means that if you are classified as an employee, and you are hurt in a crash while on the job, you have a legal right to file a claim. This coverage helps pay for medical treatment, lost wages, and disability benefits when an employee is injured while performing work-related duties.

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How Do Permanent Disability Ratings Work in California Workers’ Comp?

 Posted on July 22, 2025 in Workers' Compensation

Morgan Hill, CA workers’ compensation lawyerIf you suffered a work-related injury that led to a permanent impairment, you may be entitled to permanent disability benefits through California’s workers’ compensation system. These benefits are designed to compensate you for the lasting impact the injury has on your ability to work. The key factor in determining the amount you receive is your permanent disability rating. If you have questions about your eligibility for benefits, a Morgan Hill, CA workers’ compensation attorney can help.

What Is a Permanent Disability Rating for a California Workers’ Compensation Claim?

A permanent disability rating is a percentage that represents how much your injury limits your ability to earn a living. This rating applies once your condition has reached maximum medical improvement (MMI), which is the point where your condition has stabilized and is not expected to improve with further treatment.

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Does Workers’ Compensation Cover Respiratory Conditions in California?

 Posted on July 11, 2025 in Workers' Compensation

Hollister, CA workers' comp lawyerWorkers’ compensation benefits in California can cover respiratory and other occupational conditions if they are caused by work. However, proving the connection between your illness and your job can be challenging. A Hollister, CA workers’ compensation attorney can help you understand your rights and guide you through filing a claim.

Common Respiratory Conditions in the Workplace

Workers in many industries face health risks from breathing in harmful substances. Some respiratory conditions often connected to workplace exposure in California include:

  • Occupational asthma: Asthma can start or worsen because of repeated on-the-job exposure to irritants or allergens, such as dust or chemical fumes.

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Reasons for a Workers’ Compensation Claim Denial in California

 Posted on July 04, 2025 in Denied Claims and Appeals

Gilroy, CA workers' comp lawyerReceiving a denial for a workers’ compensation claim can feel defeating. However, there are common reasons that these claims are denied, and an experienced Gilroy, CA workers’ compensation attorney can help you fight an unfair judgment. The first step is to understand why your claim was not accepted. More often than not, there is an obvious solution.

Common Reasons for Workers’ Compensation Claim Denials in California

The most common reasons for workers’ compensation claim denial in California are related to issues addressed under state labor laws:

  • Lack of medical evidence: If your medical records do not clearly connect your injury to your work duties, your claim may be denied.

  • Injury not reported on time: Injured workers must notify their employer within 30 days of the injury, according to Labor Code § 5400.

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How Long Can I Stay on Workers’ Comp With a Spinal Cord Injury in CA?

 Posted on June 23, 2025 in Workplace Injuries

San Benito County work injury attorneyA spinal cord injury can happen in an instant, causing chronic pain or loss of function that can last a lifetime. These injuries often require long-term medical care and prevent you from returning to work for months or years. If you have been hurt on the job, an experienced Hollister, CA workers’ compensation attorney can help you understand how long you can receive benefits and how California law protects your right to support during recovery.

How Long Does Workers’ Compensation Cover Spinal Injuries in California?

Under California Labor Code § 4656, most injured workers can receive Temporary Total Disability (TTD) benefits for a single injury for up to 104 weeks within two years from the date of injury. These benefits help replace lost wages while you recover and are unable to work. However, spinal cord injuries are often serious enough to qualify for extended benefits. If your injury involves paralysis, significant nerve damage, or other severe neurological complications, you may be eligible to receive TTD for longer. As of January 1, 2025, the minimum weekly TTD benefit is $252.03.

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Do I Sue if Injured in a Trench Collapse at Work in California?

 Posted on June 20, 2025 in Workplace Injuries

 Santa Clara County workplace injuryIf you suffered an injury in a trench collapse on a construction site in California, you do not need to sue your employer to recover compensation for your injuries. Instead, you need to file a workers’ compensation claim. California law requires employers to carry workers’ compensation insurance, allowing injured workers an avenue to compensation that offers fast benefits without the need to prove liability. A Gilroy, CA workers’ compensation attorney can help you determine the value of your claim and protect your right to adequate compensation.

What Should I Do After a Trench Collapse Injury on the Job?

The steps you can take in the immediate aftermath of a trench collapse injury on the job include:

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